|
27-56-10
Section 27-56-10 Vision care providers - Contract requirements; rates; reimbursements;
discounts. (a) As used in this section, the following words shall have the following
meanings: (1) CONTRACTUAL DISCOUNT. A percentage reduction from a provider's usual and customary
rate for covered services and materials required under a participating provider agreement.
(2) COVERED MATERIALS. Materials for which reimbursement from the insurer or vision care plan
is provided to a vision care provider by an enrollee's plan contract, or for which a reimbursement
would be available but for the application of the enrollee's contractual limitations of deductibles,
copayments, or coinsurance. (3) COVERED SERVICES. Services for which reimbursement from the
insurer or vision care plan is provided to a vision care provider by an enrollee's plan contract,
or for which a reimbursement would be available but for the application of the enrollee's
contractual plan limitations of deductibles, copayments, or...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-56-10.htm - 4K - Match Info - Similar pages
36-29-4
Section 36-29-4 Establishment and provisions of health insurance plan; rules and regulations.
The board is hereby empowered and authorized to establish a fully insured or self-insured
health insurance plan for employees and retirees of the State of Alabama and to adopt and
promulgate rules and regulations for the administration of such plan, subject to such limitations
as may be contained in this chapter. Such plan may provide for group hospitalization, surgical,
and medical insurance against the financial costs of hospitalization, surgical, and medical
treatment and care and may also include, among other things, prescribed drugs, medicines,
prosthetic appliances, hospital inpatient and outpatient service benefits, and medical expenses
indemnity benefits, including major medical benefits or such other coverage or benefits as
may be deemed appropriate and desirable by the board. (Acts 1965, No. 833, p. 1564, §3; Act
2004-647, 1st Sp. Sess., p. 17, §1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-29-4.htm - 1K - Match Info - Similar pages
20-2-251
Section 20-2-251 Certifying board; advisory committee; access to records; protocols,
formularies, medical regimens. (a) The Board of Medical Examiners is hereby designated as
the certifying board for the registration and approval of a certified registered nurse practitioner
(CRNP) or a certified nurse midwife (CNM) in obtaining or renewing a Qualified Alabama Controlled
Substances Registration Certificate (QACSC). The board may adopt regulations concerning the
application procedures, fees, and grounds for the restriction, limitation, suspension, or
revocation of a QACSC, excluding the charge of expenses for conducting an investigation or
expenses of a hearing, and to provide for hearings in connection with the same. The board
shall establish a unique QACSC number that identifies the particular applicant as a certified
registered nurse practitioner or certified nurse midwife with a valid QACSC. However, nothing
in this article shall permit the board to encroach on the powers, duties,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/20-2-251.htm - 2K - Match Info - Similar pages
2-28-10.1
Section 2-28-10.1 Financial responsibility. (a) The commissioner with the approval of
the State Board of Agriculture and Industries may promulgate rules and regulations which require
any applicant for a permit to perform professional work or services to provide evidence of
his ability to properly indemnify persons damaged in any manner by the use or application
of pesticides. The amount and form of indemnification required shall be determined by rules
and regulations promulgated by the commissioner with the approval of the State Board of Agriculture
and Industries. (b) The commissioner with the approval of the State Board of Agriculture and
Industries, may promulgate rules and regulations requiring an applicant for a permit to perform
professional work or services to furnish and file with the commissioner a surety bond payable
to the State of Alabama. The surety bond shall be conditioned that the principal therein named
shall honestly and in a skillful and workmanlike manner conduct...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/2-28-10.1.htm - 2K - Match Info - Similar pages
27-1-16
Section 27-1-16 Standard health insurance claim form; electronic claims form; various
claim forms. (a)(1) The Commissioner of the Department of Insurance shall prescribe a standard
health insurance claim form to be used by all hospitals. The forms shall be prescribed in
a format which allows for the use of generally accepted diagnosis and treatment coding systems
by providers of health care and payors. The standard form shall be accepted and used by all
insurers doing business in the State of Alabama and by all state agencies which pay providers
of health care for hospital services. (2) The Commissioner of the Department of Insurance
shall also prescribe a format for all health insurance claims transmitted or submitted for
payment by electronic or electro-mechanical means. Such a format shall be used by all insurers
doing business in the State of Alabama and by all state agencies which pay providers of health
care for hospital services. (b) An advisory committee of five persons, two...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-16.htm - 3K - Match Info - Similar pages
40-26B-2
Section 40-26B-2 Privilege tax upon providers of pharmaceutical services; exceptions.
To provide further for the availability of indigent health care, the operation of the Medicaid
Program and the maintenance and expansion of medical services thereunder, there is hereby
levied and shall be collected as provided in this article a privilege tax on the business
activities of every provider of pharmaceutical services to the citizens of Alabama, except
for a pharmacy, or portion thereof, serving hospital inpatients or pharmacies owned or operated
by the State of Alabama or an agency thereof. The privilege tax imposed by this article is
in addition to all other taxes of any kind now imposed by law, and shall be at the rate of
10 cents for each prescription filled or refilled for a citizen of Alabama. (Acts 1991, No.
91-124, p. 148, §2; Act 2002-414, p. 1058, §1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/40-26B-2.htm - 1K - Match Info - Similar pages
16-8-26
Section 16-8-26 Definitions; personal leave for teachers during time schools are in
session; reimbursement for unused personal leave. (a) When used in this section, the
following terms shall have the following meanings: (1) BOARD. Any public city or county board
of education; the Board of Trustees of the Alabama Institute for Deaf and Blind; the Alabama
Youth Services Board in its capacity as the Board of Education for the Youth Services School
District; the Board of Directors of the Alabama School of Fine Arts; the Board of Directors
of the Alabama High School of Mathematics and Science; and, as applied to two-year postsecondary
education institutions, the State Board of Education. (2) SUPPORT PERSONNEL or SUPPORT EMPLOYEE.
Maid, custodian, adult bus driver, lunchroom or cafeteria worker, secretary, clerk, clerical
assistant, maintenance worker, or other non-certificated employee who works an average of
at least 20 hours weekly, excluding those employees who are covered by the State...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/16-8-26.htm - 3K - Match Info - Similar pages
2-6A-2
Section 2-6A-2 Farm Crisis and Transition Program and Commission established; members;
chairman; powers and duties; use of physical facilities of other agencies; rules and regulations;
advisory committee. There is hereby established the Farm Crisis and Transition Program of
the State of Alabama (herein called "the program") which shall come into existence
upon April 29, 1986, and shall continue for a period ending on September 30, 1991, unless
earlier terminated by action of the Legislature. The program shall be under the direction
and control of the Farm Crisis and Transition Program Commission (herein called "the
commission"), which shall consist of the Commissioner of Agriculture and Industries of
the state, the Chairman of the Agriculture, Conservation and Forestry Committee of the Senate
of Alabama, the Chairman of the Agriculture and Forestry Committee of the House of Representatives
of Alabama, the Director of the Alabama Department of Economic and Community Affairs and the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/2-6A-2.htm - 3K - Match Info - Similar pages
26-23C-2
Section 26-23C-2 Legislative findings. (a) The Legislature of the State of Alabama finds
all of the following: (1) Under the Patient Protection and Affordable Care Act, P.L. 111-148,
federal tax dollars, via affordability credits, subsidies provided to individuals between
150-400 percent of the federal poverty level, are routed to exchange participating health
insurance plans, including plans that provide coverage for abortions. (2) Federal funding
of insurance plans that provide abortions is an unprecedented change in federal abortion funding
policy. The Hyde Amendment, as passed each year in the Labor Health and Human Services Appropriations
bill, and the Federal Employee Health Benefits Program, FEHBP, prohibit federal funds from
subsidizing health insurance plans that provide abortions. Under this new law, however, exchange
participating health insurance plans that provide abortions can receive federal funds. (3)
The provision of federal funding for health insurance plans that...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/26-23C-2.htm - 2K - Match Info - Similar pages
27-1-10.1
Section 27-1-10.1 Insurance coverage for drugs to treat life-threatening illnesses.
(a) The Legislature finds and declares the following: (1) The citizens of this state rely
upon health insurance to cover the cost of obtaining health care and it is essential that
the citizens' expectation that their health care costs will be paid by their insurance policies
is not disappointed and that they obtain the coverage necessary and appropriate for their
care within the terms of their insurance policies. (2) Some insurers deny payment for drugs
that have been approved by the Federal Food and Drug Administration, hereafter referred to
as FDA, when the drugs are used for indications other than those stated in the labelling approved
by the FDA, off-label use, while other insurers with similar coverage terms do pay for off-label
use. (3) Denial of payment for off-label use can interrupt or effectively deny access to necessary
and appropriate treatment for a person being treated for a...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-10.1.htm - 6K - Match Info - Similar pages
|